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Changing course: supporting a shift to environmental strategies in a state prevention system

机译：改变课程：支持在国家预防系统中转向环境策略

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This study examines how the North Carolina state prevention system responded to a policy shift from individual-level prevention strategies to environmental strategies from the perspective of the organizations implementing the policy shift. We use two data sources. First, we conducted interviews to collect qualitative data from key informants. Second, we used prevention provider agency expenditure data from the year the shift was announced and the following year. The interviews allowed us to identify effective features of policy change implementation in complex systems, such as the need for clear communication and guidance about the policy changes. Our interview and expenditure analyses also underscore variation in the level of guidance and oversight provided by implementing agencies to prevention providers. Our analyses suggest that more active monitoring and oversight may have facilitated more consistent implementation of the policy shift toward greater use of environmental prevention strategies.
机译：本研究审查了北卡罗来纳州预防系统如何应对从实施政策转变的组织的角度来响应来自个人水平预防策略的政策转变。我们使用两个数据来源。首先，我们进行了采访，收集关键信息人员的定性数据。其次，我们使用从转变的预防提供商机构支出数据和次年宣布。面试使我们能够识别复杂系统中政策变更实施的有效特征，例如需要明确的沟通和关于政策变化的指导。我们的访谈和支出分析也强调了执行机构向预防提供者提供的指导和监督水平的变化。我们的分析表明，更积极的监测和监督可能有助于更加一致地实施政策转变，以更大利用环境预防策略。

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